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Goodwill and Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2018
Goodwill and Intangible Assets Disclosure [Abstract]  
Changes in carrying amount of goodwill The changes in the carrying amount of goodwill for the years ended December 31, 2018 and 2017, are as follows (in thousands):
 
2018
 
2017
Goodwill balance at January 1
$
238,147

 
$
211,927

Effect of foreign exchange
(1,304
)
 
2,641

Additions as the result of acquisitions
98,590

 
23,579

Goodwill balance at December 31
$
335,433

 
$
238,147

Other intangible assets Other intangible assets at December 31, 2018 and 2017, consisted of the following (in thousands):
 
2018
 
Gross Carrying
Amount
 
Accumulated
Amortization
 
Net Carrying
Amount
Patents
$
19,378

 
$
(5,012
)
 
$
14,366

Distribution agreements
8,012

 
(5,766
)
 
2,246

License agreements
26,930

 
(7,411
)
 
19,519

Trademarks
29,998

 
(6,586
)
 
23,412

Covenants not to compete
1,028

 
(1,000
)
 
28

Customer lists
39,936

 
(23,361
)
 
16,575

In-process technology
3,420

 

 
3,420

 
 
 
 
 
 
Total
$
128,702

 
$
(49,136
)
 
$
79,566


 
2017
 
Gross Carrying
Amount
 
Accumulated
Amortization
 
Net Carrying
Amount
Patents
$
16,528

 
$
(3,737
)
 
$
12,791

Distribution agreements
7,262

 
(4,686
)
 
2,576

License agreements
23,783

 
(5,568
)
 
18,215

Trademarks
16,224

 
(4,686
)
 
11,538

Covenants not to compete
1,028

 
(968
)
 
60

Customer lists
31,935

 
(18,482
)
 
13,453

In-process technology
920

 

 
920

 
 
 
 
 
 
Total
$
97,680

 
$
(38,127
)
 
$
59,553

Estimated amortization expense Estimated amortization expense for the developed technology and other intangible assets for the next five years consists of the following as of December 31, 2018 (in thousands):
Year Ending December 31
 
2019
$
58,035

2020
55,341

2021
48,084

2022
46,648

2023
45,417